| Mariposa Eating Recovery | |
|
1852 Lockhill Selma Rd Ste 106 San Antonio TX 78213-1500 | |
| (210) 687-2939 | |
| Not Available |
| Full Name | Mariposa Eating Recovery |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1852 Lockhill Selma Rd Ste 106, San Antonio, Texas |
| Authorized Official Name and Position | Jessie Mae Estrada (OWNER, LPC) |
| Authorized Official Contact | 2106872939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mariposa Eating Recovery Po Box 29783 San Antonio TX 78229-0783 Ph: (210) 687-2939 | Mariposa Eating Recovery 1852 Lockhill Selma Rd Ste 106 San Antonio TX 78213-1500 Ph: (210) 687-2939 |
| NPI Number | 1700422342 |
|---|---|
| Provider Enumeration Date | 11/19/2019 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700422342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
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